Gregory S Fernandez, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA09538300 Issued in NJ

Practice address

615 Hope Road
Building 1, 2ND Floor
Eatontown, NJ 07724

Phone

(848) 208-2600

NPI assigned

Jun 4, 2007

Last updated

Nov 5, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Psychiatry

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Memorial Psychiatry GroupGroup PAC ID 2062301476, 50 clinicians

Memorial Sloan Kettering Cancer Center at Basking Ridge New JerseyGroup PAC ID 0143229534, 230 clinicians

MSK MonmouthGroup PAC ID 1153619291, 300 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital for Cancer and Allied Diseases Hospital, New York, NY, CCN 330154

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: gfernandez21709@mskcc.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Memorial Sloan Kettering Cancer Center at Basking Ridge New Jersey

  • Medical Oncology Physician
  • Basking Ridge, NJ
  • NPI 1184637886
  Medicare reassignment Care Compare group NPD
• MSK Monmouth

  • Medical Oncology Physician
  • Middletown, NJ
  • NPI 1922459163
  Medicare reassignment Care Compare group NPD
• Memorial Psychiatry Group

  • Psychiatry Physician
  • New York, NY
  • NPI 1689645244
  Medicare reassignment Care Compare group NPD
• MSK Bergen

  • Medical Oncology Physician
  • Montvale, NJ
  • NPI 1558814657
  Medicare reassignment NPD
• Princeton Healthcare Affiliated Physicians PC

  dba Princeton HealthCare Medical Associates

  • Internal Medicine Physician
  • Plainsboro, NJ
  • NPI 1518194323
  Medicare reassignment NPD
• Princeton House Provider Group LLC

  • Psychiatry Physician
  • Princeton, NJ
  • NPI 1881078681
  Medicare reassignment NPD
• MSK Harrison

  • Medical Oncology Physician
  • West Harrison, NY
  • NPI 1174923593
  Medicare reassignment NPD
• Princeton Healthcare Affiliated Physicians PC

  dba Montgomery Internal Medicine Group - Princeton Medicine

  • Internal Medicine Physician
  • Princeton, NJ
  • NPI 1770176372
  NPD
• Princeton Healthcare Affiliated Physicians PC

  dba Princeton HealthCare Family Medicine at Dayton

  • Family Medicine Physician
  • Dayton, NJ
  • NPI 1770710576
  NPD
• Princeton Healthcare System, a New Jersey Non-Profit Corporation

  dba Penn Medicine Princeton House Behavioral Health

  • Psychiatric Hospital Unit
  • Princeton, NJ
  • NPI 1518009588
  NPD (past)
• Faculty Psychiatric Associates, PC

  • Child & Adolescent Psychiatry Physician
  • Valhalla, NY
  • NPI 1003864729
  NPD (past)
• Westchester County Health Care Corp

  • Obstetrics & Gynecology Physician
  • Hawthorne, NY
  • NPI 1366614851
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Memorial Hospital for Cancer & Allied Diseases

  • General Acute Care Hospital
  • Basking Ridge, NJ
  • NPI 1659385474
  Care Compare affiliation
• Memorial Sloan Kettering Bergen

  • General Acute Care Hospital
  • Montvale, NJ
  • NPI 1841650330
  Care Compare affiliation
• Memorial Sloan Kettering Monmouth

  • General Acute Care Hospital
  • Middletown, NJ
  • NPI 1528428521
  Care Compare affiliation
• Memorial Hospital for Cancer and Allied Diseases

  • General Acute Care Hospital
  • New York, NY
  • NPI 1700887411
  Care Compare affiliation
• Ralph Lauren Center for Cancer Care and Prevention

  • Special Hospital
  • New York, NY
  • NPI 1770046351
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1194927863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 HOPE ROAD, BUILDING 1",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "07724",
            "telephone_number": "848-208-2600",
            "fax_number": "848-208-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 HOPE ROAD",
            "address_2": "BUILDING 1, 2ND FLOOR",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "07724",
            "telephone_number": "848-208-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "GREGORY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A110301",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "244262",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA09538300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02890513",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cara Fehnel, APN
• Joni Feldbaum-Smith, O.D.
• Joanna Feliz
• Maureen Elizabeth Felser, MPT
• Christine Elizabeth Fernandez, LCSW
• Robert Paul Ferraris, D.M.D.
• Portia Festejo, LSW
• Thomas Fiest, D.O.
• Siara Figueroa
• Firstmdvip LLC

• Psychiatry Physician in Eatontown, NJ
• Providers in Eatontown, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.